ANTE / POST PARTUM / NORMAL NEWBORN
NURSERY (A-1/NNN)

KFSH & RC Riyadh

To apply for Midwife post at this hospital

• Send your CV to nurses@profco.com or
• Email for a Job Description, person specification and other information

No. Of Beds: 27 Beds

Nurse Patient Ratio: 1: 5-6 (Days and Nights)

Scope of Service:
A-1/NNN provides nursing care to ante- and post-partum women and newborns, as well as to patients who are under the services of gynecology and gyne/oncology.

Frequent Procedures/Services/Functions

• Use of nursing process: assessment, planning, interventions, and evaluation
• Ultrasounds
• External fetal heart rate & maternal uterine contraction monitoring
• Non Stress Testing
• Circumcisions
• Blood sugar stabilization
• Breastfeeding Consultation
• Thermoregulation
• Patient/Family Education
• Maintenance of skin integrity
• Wound Care
• Pain management, including epidural and patient controlled analgesia administration management
• Medication administration
• Administration of blood and blood products

Hours of Operation

24 hours per day, 7 days a week

CRITERIA FOR ADMISSION TO SERVICE

• Pregnant women who need care for a condition that may have an impact on their pregnancy, delivery, or post-partum period
• Also includes care for their newborns, not requiring intensive care
• Overflow patients with gynecology and gyne-oncology conditions; general abdominal surgery

Staffing Plan

Number and Mix of Staff

• 1 Head Nurse (A-1 & L&D)
• 1 Clinical Nurse Coordinator
• 1 Charge Nurse (SNI), 07:00H-19:30H
• 33 SNIs
• 4 Ward Clerks
• 2 PCAs
• 1 Clinical Instructor, shared with L&D (included in the budgeted MSR lines for ND&S)

Staffing is calculated using 6.0 NHPPD. Staffing is provided by multinational registered nurses, (SN1s); utilizing Core Standards, and perinatal guidelines furnished by AWHONN, the American Association of Obstetric, Gynecologic and Neonatal Nurses. The SN1s are assisted by Patient Care Assistants and Ward Clerks, Saudi Health Educators, the Clinical Instructor & Breastfeeding Consultant.

A Charge Nurse is designated for each shift. She shall be responsible for overall supervision and the quality of care delivered by personnel during the shift. The charge nurse will be required to provide patient care as needed to accommodate the fluctuating patient census and acuity.

Shift assignments are made each shift by the charge nurse and are based on the following criteria:

• Acuity of patient's condition and required nursing care
• Dynamics of patient's status, including the frequency with which the needs for specific nursing care activities change
• Complexity of assessment required by the patient
• Type of technology employed in providing nursing care
• Degree of supervision required by each nursing staff member based on the previously assessed level of competence
• Availability of supervision appropriate to the assessed and current competence of nursing staff member
• Relevant infection control and safety issues

Method of Adjusting to Staffing Variances

During periods of high census/short staffing, additional staff are provided. Staff are cross-trained between the areas and are re-assigned as needed.

Ante/Post Partum/Normal Newborn Nursery nurses generally float to the following units:

• NICU, ICN
• Labor & Delivery
• D-4/VIP suites
• D3-2, Gynecology

HOW ARE INSERVICES/CONTINUING EDUCATION PROGRAMS PROVIDED TO MAINTAIN STAFF COMPETENCY

Continuing education is offered through Nursing Development & Saudization (ND&S) and at the Unit level coordinated by the Head Nurse and Clinical Instructor. Education needs are identified through needs assessment tools, treatment protocols, performance improvement activities, regulatory agencies, new technology, new equipment, new products and individual input and surveys. Topics other than those which are based upon mandates and updated protocols, are also arranged. These may be issues of interest raised by the Unit staff, topics selected from the departments' needs assessment or information of interest or relevance from other departments.

Required Competencies:

Annual review of education includes:

• Age Specific Care competency
• Performance Improvement
• Fire and Electrical Safety
• Infection Control and prevention online modules
• Skin Care and Pressure Ulcer Prevention online module
• Wound Care Online module
• Point of Care Testing (POCT)
• Medication Safety Online module

METHOD OF COMMUNICATION WITH OTHER DEPARTMENTS

Internal and External Methods of Communication:

Internally and externally, communication is accomplished via direct verbal communication, telephone, fax, intranet and written memos. Staff meetings are held on a monthly basis, or more frequently if required. Collaborative practice meetings are scheduled on a quarterly basis or as required. Other meetings are scheduled as required.

Collaborative Relationships With Other Departments 

The Head Nurse and staff participate on many multidisciplinary committees, as well as on Hospital wide performance improvement groups and committees. Representatives from other departments are invited to attend staff meetings when new programs are introduced or if complicated issues arise, to facilitate a mutually desirable resolution.

PLAN TO IMPROVE QUALITY OF SERVICE

• Review patient comments and follow-up as necessary
• Review event notification forms and follow-up as necessary
• Review and revise standards of patient care and clinical practice
• Ensure staff competency via required competency validation
• Offer educational programs to increase staff's knowledge and skills
• Staff participation in staff performance improvement teams
• Expand patient teaching programs and materials
• Renovation of the Unit in order to accommodate the present/future patient populations
• Continue the cross-training program of A-1 staff